▲ Masochism ▲

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Sexual masochism disorder falls within the category of psychiatric sexual disorders known as paraphilias, which involve recurrent, intense, sexually arousing fantasies, urges, or behaviors that are distressing or disabling and have the potential to cause harm to oneself or others.

》Sexual masochism refers to engaging in, or frequently fantasizing about, being beaten, bound, humiliated, or otherwise made to suffer, resulting in sexual satisfaction

》Sexually masochistic behavior is usually evident by early adulthood, and sometimes begins with masochistic or sadistic play during childhood.

》A masochist may also enjoy being burned, bitten, cut or shocked by electricity.

Hypoxyphilia, or near-asphyxiation, may also be attempted. In this activity, the masochist may place a plastic bag or noose around his or her neck to experience a lack of oxygen to the brain.

》Slightly more men than women identify themselves as being sexual masochists.

》An individual with this disorder wants to submit to the will of another, and the types of activities he or she can become involved with range from mild to life-threatening.

》When the masochist is interacting with a sadist, he or she may be restrained with ropes or chains, paddled, spanked or whipped. The partners may act out a scenario where one person is in a position of authority over the other, such as a slave and master, or teacher and student.

Symptoms of Sexual Masochism Disorder include:

over a period of at least 6 months, a person has had recurrent, intense sexually arousing fantasies, sexual urges, or behaviors from the act of being humiliated, beaten, bound, or otherwise made to suffer.

the fantasies and sexual urges are causing clinically significant distress or impairment in social, occupational, or other important areas of functioning.

》There is no universally accepted theory explaining the root of sexual masochism. However, some theories attempt to explain the presence of sexual paraphilias in general.

》One suggests that paraphilias originate because when inappropriate sexual fantasies are forbidden, they become stronger as they are suppressed. When they are finally acted upon, a person is in a state of considerable distress and/or arousal.

》Theories stemming from the psychoanalytic camp suggest that childhood trauma such as sexual abuse, or other significant childhood experiences, can later manifest in a paraphilic disorder.

Treatment for sexual masochistic disorder typically involves psychotherapy and medication. The goal of psychotherapy may be to uncover and work through the underlying cause of the behavior that is causing distress.

》According to the DSM-5, to be diagnosed with sexual masochism disorder a person must experience recurrent and intense sexual arousal from being beaten, humiliated, bound, or aroused from some other form of suffering. These types of urges, fantasies, or behaviors must be present for at least six months and cause clinically significant troubles or difficulty in social, occupational, or other important areas in life.

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